Fred Leroy Health And Wellness Center Pharmacy

LBN: Ponca Tribe Of Nebraska
Fred Leroy Health And Wellness Center Pharmacy is an health care organization with primary practice located at 2602 J St Fred Leroy Health And Wellness Center Pharmacy, Omaha NE 68107-1643. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Ponca Tribe Of Nebraska can be contacted via phone (402) 734-5275, or through Lee, Donald via phone (402) 734-5275.

Contact Information

Primary practice address
2602 J St Fred Leroy Health And Wellness Center Pharmacy Omaha NE 68107-1643
Phone: (402) 734-5275
Fax: (402) 733-3487
Website:
Map and Directions
Authorized official contact:
Name: Lee, Donald MS
Phone: (402) 734-5275

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 2884 Nebraska

Profile Details

NPI number 1760778385
LBN Legal business name Ponca Tribe Of Nebraska
DBA Doing business as Fred Leroy Health And Wellness Center Pharmacy
Authorized official Lee, Donald MS
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760778385 NPPES
Nebraska Other 2884 PHARMACY LICENSE NUMBER
Nebraska Other 2817964 PHARMACY LICENSE NUMBER

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